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As a Clinical Documentation Review Specialist (RN), you will help medical staff clarify patient records to ensure appropriate reimbursement and reflect care complexity. You will perform concurrent reviews and engage with physicians...

Utilization Management Registered Nurse (RN) - Remote Full-time WHO IS GUIDEHEALTH? Guidehealthis a data-powered, performance-driven healthcare company dedicated to operational excellence. Our goal is to make...

Actalent is seeking an LVN Nurse Consultant for a fully remote telephonic nursing position. You will contact patients or caregivers to ensure adherence to prescribed therapies and address issues they may encounter, including nursing home...

Humana is seeking a Utilization Management Nurse to support coordination, documentation, and communication of medical services and benefit determinations. This role suits experienced nurses who can work independently and make critical patient-care...

A staffing and recruiting firm is seeking a HEDIS Nurse (RN or LPN) for a remote position which allows for a flexible schedule. This high-impact role involves ensuring accurate HEDIS reporting and quality improvement initiatives. Candidates should...

Cunningham Children's Home in Urbana, IL is seeking a Nurse Case Manager to join our team supporting youth in emotional, psychological, and physical care. This role involves medical case management, screening, education, counseling, and...

Volunteers of America Los Angeles seeks a Licensed Vocational Nurse (LVN) to provide professional nursing services in a residential substance use program. You will monitor withdrawal, support MAT, and conduct health assessments under supervision...

Optum is seeking a Fertility Utilization Management RN to work remotely within the United States. You will assess and determine the appropriateness of inpatient and outpatient services, translating clinical concepts into practical care-management...

BJC HealthCare is seeking a registered nurse to join a remote Utilization Review team. The role supports multiple hospital units with no patient communication, and it is designed for local remote work with weekend rotation. Responsibilities...

56512 Job Description Join a team that's shaping the future of pediatric care. Childrens Hospital Los Angeles is consistently ranked among the top 10 children's hospitals in the nation, delivering world-class care through more...

IPRO in New Rochelle, NY seeks a Nursing Home Surveyor/Complaint Investigator to assist NYSDOH with surveillance and investigations at nursing homes and TCUs. The role involves reviewing abuse eglect allegations, preparing reports, and ensuring...

Job Description: The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of...

Molina Healthcare is seeking a Care Review Clinician (RN or LPN) for a remote, full-time position operating 8a-5p Pacific Time, Monday through Friday. You will support clinical member services review processes, verify medical necessity, and ensure...

About the Role: Our client, a leading telehealth platform, is expanding rapidly and looking for a dedicated Nurse Practitioner to join their virtual care team. You will provide exceptional primary care services to a diverse patient...

UnitedHealth Group is seeking an HSS Clinical Coordinator RN to conduct clinical reviews and evaluations related to Medicaid appeals, ensuring compliance and accuracy in assessments. This remote role is ideal for experienced RNs seeking meaningful...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the...

Float Health is seeking an Intake Specialist to manage new patient referrals and coordinate start-of-care visits. This externally facing role requires quick action, clear communication, and meticulous attention to detail to ensure timely,...

Lancesoft is seeking a Licensed Vocational Nurse (LPN/LVN) for a fully remote, full-time role focused on processing and managing prior authorizations within Caremark Specialty Medical PA workflows. You will support physician offices, pharmacies,...

Job Summary: Works collaboratively with an MD to coordinate and screen for the appropriateness of admissions and Continued stays. Makes recommendations to the physicians for alternate levels of care when the patient does not meet the medical...

Maximus is seeking a Clinical Reviewer (LPN) to support Illinois PASRR Level I screenings in a fully remote role. You will review clinical documentation, coordinate with providers, and ensure HIPAA compliance. You will collaborate with a...

Licensed Vocational Nurse (LVN)PIH Health is seeking a dedicated and compassionate Licensed Vocational Nurse (LVN) for an 8-hour shift position based at PHP - Whittier, located at 14350 Whittier Blvd, Whittier, CA. This is a Full-Time/Regular,...

PIH Health is seeking a dedicated and compassionate Licensed Vocational Nurse (LVN) for an 8-hour shift position based at PHP - Whittier, located at 14350 Whittier Blvd, Whittier, CA. This is a Full-Time/Regular, at-will position within PIH...

Aya Healthcare has an immediate opening for the following position: Outpatient Clinic in Beverly Hills, CA.We'll work with you to build the healthcare career of your dreams. Whether you want a job close to home or across the country, we've got...

Job Summary and Responsibilities As our Licensed Vocational Nurse (LVN), you will provide vital direct patient care, significantly contributing to patient well-being and recovery as an integral part of our compassionate...

Primary Duties and Responsibilities Sets up exam room/procedure rooms appropriately based on patient visit needs Performs initial nursing intake and prepares patients for examination. Prepares patients for...